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DR. BOBBY GLENN BRASWELL JR. DDS
NPI 1295949386
Dentist - General Practice in Petal, MS

Active since May 09, 2007PECOS Enrolled
139 S MAIN ST, PETAL, MS 39465(601) 584-9481(601) 544-5161 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Bobby Glenn Braswell Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BOBBY GLENN BRASWELL JR. DDS (NPI 1295949386) is an individual general practice provider in Petal, Mississippi, licensed in Mississippi (3411-07) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295949386
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BOBBY GLENN BRASWELL JR.Credential: DDS
Location Address139 S MAIN STPetal, MS 39465
Mailing Address139 S Main StPetal, MS 39465 · (601) 584-9481 · Fax (601) 544-5161
Phone(601) 584-9481
Fax(601) 544-5161
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateOctober 17, 2014
✔ NPI 1295949386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 3411-07
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
139 S MAIN ST, Petal, MS 39465
Open in Google Maps ↗

Other Identifiers 1

Other12264946MS · Caqh Id#

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental PPO.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bobby Glenn Braswell Jr. Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bobby Braswell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Quentin N Burdick Comprehensive Health Care Facility
1,326 mi
Rural
1300 HOSPITAL LOOP
Belcourt, ND 58316
  • Reassigned Medicare billing, Texas enrollment
  • 193 clinicians in this Medicare group
NPI 1952346934 (701) 477-6111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39465 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES J. HARRELL JR. D.M.D.
Dentist (General Practice)
139 S MAIN ST
PETAL, MS 39465
Forrest County (601) 584-9481
PETAL FAMILY DENTISTRY
Dentist (General Practice)
139 S MAIN ST
PETAL, MS 39465
Forrest County (601) 584-9481

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bobby Braswell's NPI number?

The NPI number for Bobby Braswell is 1295949386. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Bobby Braswell located?

Bobby Braswell practices at 139 S Main St, Petal, MS 39465. The listed phone number is (601) 584-9481.

What is Bobby Braswell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Bobby Braswell enrolled in Medicare?

Yes. Bobby Braswell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bobby Braswell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bobby Braswell reassigns Medicare benefits to Quentin N Burdick Comprehensive Health Care Facility (Belcourt, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bobby Braswell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bobby Braswell accept?

Health plans from Delta Dental PPO list Bobby Braswell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bobby Braswell was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.